COMPARİSON OF THE EFFECTS OF ANESTHESİA TECHNİQUE AND MATERNAL WARMİNG ON NEONATAL BODY TEMPERATURE İN CESAREAN SECTİON OPERATİONS: A RETROSPECTİVE STUDY

Authors : Kamuran Uluç, Ayşe Surhan Cinar, Hacer Şebnem Türk, Elif Filiz Gökdemir

Pages : 189-195

View : 57 | Download : 63

Publication Date : 2024-06-30

Article Type : Research Paper

Abstract :Objective: Both general and spinal anesthesia are preferred methods in cesarean section operations. Inadequate thermoregulation mechanisms of newborns and changes in maternal body temperature caused by anesthetic approaches adversely affect the newborn. Our study aimed to retrospectively compare the effects of different anesthetic techniques and maternal warming on neonatal body temperature in cesarean section operations. Methods: Our study was performed retrospectively on the data of 112 American Society of Anesthesiologists (ASA) I-II-III patients who underwent cesarean section after ethics committee approval. General anesthesia was defined as Group G1 (n:28) heated with a hot air blower system and Group G2 (n:28) without heating. Spinal anesthesia was defined as Group S1 (n:28) heated with a hot air blower system and Group S2 (n:28) without heating. Demographic data, number, and week of pregnancy were recorded. Apical heart peak (AHP), non-invasive blood pressure (BP) [systolic blood pressure (SBP), diastolic blood pressure (DBP)], peripheral capillary oxygen saturation (SpO2), and body temperatures at baseline, at 5, 15, and 20 min and at the time the baby left the womb were recorded. Newborns were recorded at 0 and 1 minute. APGAR scores of the newborn at 1 and 5 minutes were recorded. Patients with chills, shivering, nausea, and vomiting were recorded in all groups. Results: Infant temperature and APGAR scores were significantly higher in the groups receiving spinal anesthesia (Group S1+S2) than in the groups receiving general anesthesia (Group G1+G2), respectively (p<0.05). Maternal temperature averages were statistically significantly higher in Groups G1 and S1 than in Groups G2 and S2, respectively (p<0.05). Conclusions: Maternal warming and spinal anesthesia increase maternal and neonatal body temperature and APGAR scores. Therefore, maternal warming and spinal anesthesia techniques are recommended for pregnant women.
Keywords : Yenidoğan hipotermisi, sezeryan, genel anestezi, spinal anestezi, maternal ısıtma, APGAR skoru